BLAKE GILLIAM

Nurse Practitioner · MADISON, AL

Individual Active Opted out of Medicare NPI 1043845787

Medicare payment data Part B · 2022

YearBeneficiariesServicesSubmittedAllowedPaid
20223682$14,200$7,106$3,072

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nurse Practitioner363L00000X1-153719AL
Gerontology Nurse Practitioner363LG0600X1-153719AL
Acute Care Nurse Practitioner363LA2100X1-153719AL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Opted out of Medicare (Nurse Practitioner), effective 2022-11-17 through 2026-11-17.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.